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Asian Zika virus strains target CD14+ blood monocytes and induce M2-skewed immunosuppression during pregnancy.


ABSTRACT: Blood CD14+ monocytes are frontline immunomodulators categorized into classical, intermediate or non-classical subsets, and subsequently differentiated into M1 pro- or M2 anti-inflammatory macrophages on stimulation. Although the Zika virus (ZIKV) rapidly establishes viraemia, the target cells and immune responses, particularly during pregnancy, remain elusive. Furthermore, it is unknown whether African- and Asian-lineage ZIKV have different phenotypic impacts on host immune responses. Using human blood infection, we identified CD14+ monocytes as the primary target for African- or Asian-lineage ZIKV infection. When immunoprofiles of human blood infected with ZIKV were compared, a classical/intermediate monocyte-mediated M1-skewed inflammation by the African-lineage ZIKV infection was observed, in contrast to a non-classical monocyte-mediated M2-skewed immunosuppression by the Asian-lineage ZIKV infection. Importantly, infection of the blood of pregnant women revealed an enhanced susceptibility to ZIKV infection. Specifically, Asian-lineage ZIKV infection of pregnant women's blood led to an exacerbated M2-skewed immunosuppression of non-classical monocytes in conjunction with a global suppression of type I interferon-signalling pathway and an aberrant expression of host genes associated with pregnancy complications. Also, 30 ZIKV+ sera from symptomatic pregnant patients showed elevated levels of M2-skewed immunosuppressive cytokines and pregnancy-complication-associated fibronectin-1. This study demonstrates the differential immunomodulatory responses of blood monocytes, particularly during pregnancy, on infection with different lineages of ZIKV.

SUBMITTER: Foo SS 

PROVIDER: S-EPMC5678934 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Asian Zika virus strains target CD14<sup>+</sup> blood monocytes and induce M2-skewed immunosuppression during pregnancy.

Foo Suan-Sin SS   Chen Weiqiang W   Chan Yen Y   Bowman James W JW   Chang Lin-Chun LC   Choi Younho Y   Yoo Ji Seung JS   Ge Jianning J   Cheng Genhong G   Bonnin Alexandre A   Nielsen-Saines Karin K   Brasil Patrícia P   Jung Jae U JU  

Nature microbiology 20170821 11


Blood CD14<sup>+</sup> monocytes are frontline immunomodulators categorized into classical, intermediate or non-classical subsets, and subsequently differentiated into M1 pro- or M2 anti-inflammatory macrophages on stimulation. Although the Zika virus (ZIKV) rapidly establishes viraemia, the target cells and immune responses, particularly during pregnancy, remain elusive. Furthermore, it is unknown whether African- and Asian-lineage ZIKV have different phenotypic impacts on host immune responses  ...[more]

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